NCT05864313

Brief Summary

The purpose of this study is to evaluate the feasibility of combining repetitive transcranial magnetic stimulation (rTMS), gaze and gait training to improve walking and balance in people with or without mild cognitive impairment.

Trial Health

65
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
30

participants targeted

Target at below P25 for not_applicable

Timeline
20mo left

Started Jan 2027

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 20, 2023

Completed
2 months until next milestone

First Posted

Study publicly available on registry

May 18, 2023

Completed
3.6 years until next milestone

Study Start

First participant enrolled

January 1, 2027

Expected
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2028

Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2028

Last Updated

May 6, 2026

Status Verified

February 1, 2026

Enrollment Period

1.7 years

First QC Date

March 20, 2023

Last Update Submit

May 1, 2026

Conditions

Outcome Measures

Primary Outcomes (4)

  • Change in Foot Placement Error from baseline 1

    Foot position relative to stepping targets.

    Beginning and end of Visit 1, an average of 8 hours

  • Change in VOR Gain from baseline 1

    The amount of eye relative to head movement during active head rotations.

    Beginning and end of Visit 1, an average of 8 hours

  • Change in Foot Placement Error from baseline 2

    Foot position relative to stepping targets.

    Beginning and end of Visit 2, an average of 8 hours

  • Change in VOR Gain from baseline 2

    The amount of eye relative to head movement during active head rotations.

    Beginning and end of Visit 2, an average of 8 hours

Secondary Outcomes (2)

  • Change in Timed Up and Go (TUG) from baseline 1

    Beginning and end of Visit 1, an average of 8 hours

  • Change in Timed Up and Go (TUG) from baseline 2

    Beginning and end of Visit 2, an average of 8 hours

Study Arms (2)

Real 10 Hz rTMS

ACTIVE COMPARATOR

Participants will receive 1 hour of real rTMS followed by 1 hour of gaze and gait training.

Device: Repetitive Transcranial Magnetic Stimulation (rTMS)Behavioral: Gait trainingBehavioral: Gaze training

sham rTMS

SHAM COMPARATOR

Participants will receive 1 hour of sham rTMS followed by 1 hour of gaze and gait training.

Behavioral: Gait trainingBehavioral: Gaze trainingDevice: Sham rTMS

Interventions

Gait trainingBEHAVIORAL

Subjects will practice stepping on virtual targets with real-time feedback of their foot position displayed on a screen while walking on a treadmill.

Real 10 Hz rTMSsham rTMS
Gaze trainingBEHAVIORAL

Subjects will perform gaze stabilization and gaze shifting exercise via a virtual reality headset.

Real 10 Hz rTMSsham rTMS
Sham rTMSDEVICE

Sham rTMS stimulation will produce discharge noise and vibration without stimulating the cerebral cortex.

sham rTMS

10 Hz rTMS for 5 seconds over the frontal eye fields with 25 second intertrain interval for 10 trains (500 pulses) at 90% of the resting motor threshold,

Also known as: 10 Hz rTMS FEF
Real 10 Hz rTMS

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age 18 - 80 years
  • Capable of providing informed consent and complying to the experimental procedures

You may not qualify if:

  • Significant gait difficulty requiring ambulatory aids
  • Presence of implanted device such as a neurostimulator, cochlear implant or pacemaker
  • History of epilepsy
  • History of hearing issues

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Cognitive Dysfunction

Interventions

Transcranial Magnetic Stimulation

Condition Hierarchy (Ancestors)

Cognition DisordersNeurocognitive DisordersMental Disorders

Intervention Hierarchy (Ancestors)

Magnetic Field TherapyTherapeutics

Study Officials

  • Julia Choi, Ph.D.

    University of Florida

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
BASIC SCIENCE
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 20, 2023

First Posted

May 18, 2023

Study Start (Estimated)

January 1, 2027

Primary Completion (Estimated)

September 1, 2028

Study Completion (Estimated)

September 1, 2028

Last Updated

May 6, 2026

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will not share